Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time

Chen, Aleda M.H.; Yehle, Karen S.; Albert, Nancy M.; Ferraro, Kenneth F.; Mason, Holly L.; Murawski, Matthew M.; Plake, Kimberly S.

doi:10.1155/2013/353290

Cited by 24 publications

(25 citation statements)

References 30 publications

(68 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous HF literature demonstrates that health literacy is associated with enhanced HF knowledge and better self-care(27, 28), and our results suggest that these patients also have higher activation. The association of activation with age is intriguing but may reflect that older adults with HF frequently have concomitant geriatric syndromes, such as impaired cognition and limitations in functional mobility(29, 30) that can make self-care and disease management more challenging.…”

Section: Discussionsupporting

confidence: 67%

Patient Activation in Acute Decompensated Heart Failure

et al. 2017

View full text Add to dashboard Cite

Background Recent data suggest that patient activation, or having the knowledge, skills and confidence to engage and manage one's own health, favorably impacts patient behaviors and health outcomes. However, the role of activation in patients with heart failure is unknown. Objectives To measure the level of activation of patients hospitalized with acute decompensated heart failure (ADHF) and to determine whether activation is associated with in-hospital and early post-discharge outcomes. Methods We prospectively recruited Southeastern Minnesota residents hospitalized at Mayo Clinic hospitals with ADHF from January 2014- July 2015. Activation was measured using the Patient Activation Measure questionnaire. Results Among the 302 patients enrolled, the mean age was 77.3 years, 57.3% were men, and 46.8% had preserved ejection fraction. The median (25th-75th percentile) length of stay was 4 (3-7) days. In total, 7 (2.3%) patients died prior to discharge. Most survivors discharged to home (73.6%) or skilled nursing facilities (23.7%). The number (%) of patients in each activation level from highest to lowest was 9 (3.0%), 121 (40.1%), 122 (40.4%), and 50 (16.6%). Patients with lower activation were older, less educated, had lower patient satisfaction, and worse health literacy. They more often discharged to skilled nursing facilities and had higher 30-day mortality, though 30-day readmission did not differ by activation. Conclusions Patients hospitalized with ADHF with lower activation are less satisfied, have worse health literacy, more often require skilled care and are at increased risk for early post-discharge mortality. Activation can be easily measured and may help clinicians identify high-risk patients.

show abstract

Section: Discussionsupporting

confidence: 67%

Patient Activation in Acute Decompensated Heart Failure

et al. 2017

View full text Add to dashboard Cite

show abstract

“…One major concern with low literacy can be linked to reduced selfcare behaviors in cardiac patients. In addition, low health literacy has been associated with lower BP control and reduced participation in medical decisions, 101,111 reduced communication with providers, 120 lower disease knowledge, 103,104,115 reduced cognition, 112 lower medication adherence levels, 123 and lower medication refill adherence.…”

Section: Question 3 How Are Common Barriers To Implementing Tpe For mentioning

confidence: 99%

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Barnason¹,

White‐Williams²,

Rossi³

et al. 2017

Circ: Cardiovascular Quality and Outcomes

View full text Add to dashboard Cite

A lthough the overall rate of death associated with cardiovascular disease (CVD) continues to decline in the United States, [1][2][3] CVD is a leading cause of mortality and disability. The burden of CVD remains high, underscoring the need to improve long-term management of CVD as a chronic illness. Effective implementation of current treatment guidelines for primary and secondary prevention of CVD relies heavily on patient knowledge and engagement in carrying out the plan of care. Healthcare reforms have increasingly shifted the responsibility for self-management to patients and families as hospital stays and ambulatory visits have become shorter and less frequent.Background-The burden of cardiovascular disease as a chronic illness increasingly requires patients to assume more responsibility for their self-management. Patient education is believed to be an essential component of cardiovascular care; however, there is limited evidence about specific therapeutic patient education approaches used and the impact on patient self-management outcomes. Methods and Results-An integrative review of the literature was conducted to critically analyze published research studies of therapeutic patient education for self-management in selected cardiovascular conditions. There was variability in methodological approaches across settings and disease conditions. The most effective interventions were tailored to individual patient needs, used multiple components to improve self-management outcomes, and often used multidisciplinary approaches. Conclusions-This synthesis of evidence expands the base of knowledge related to the development of patient selfmanagement skills and provides direction for more rigorous research. Recommendations are provided to guide the implementation of therapeutic patient education in clinical practice and the design of comprehensive self-management interventions to improve outcomes for cardiovascular patients. (Circ Cardiovasc Qual Outcomes. 2017;10:e000025.

show abstract

“…Heart failure (HF) has been recognized as a major cause of hospitalization, morbidity, and increasing healthcare costs (1). The results of several studies have shown that patients' self-care abilities are far from optimal (2, 3).…”

Section: Introductionmentioning

confidence: 99%

Prediction Model for Self-Care Behaviors among Iranian Elders with Chronic Heart Failure

Kamrani

Foroughan

Charati

et al. 2018

Middle East J Rehabil Health Stud

View full text Add to dashboard Cite

Background: Heart failure has been recognized as a major cause of hospitalization, morbidity, and increasing healthcare costs. The purpose of this study was to determine causal relationships between the factors predicting self-care in Iranian elders with chronic heart failure. Methods: In the present study, 334 elderly people (194 females and 140 males), with chronic heart failure (CHF), completed questionnaires that covered the areas of psychosocial characteristics including; age, gender, education, income, location, living arrangement, depression, social support, age-related characteristics including cognition, attitudes toward aging, functional status, hearing impairment, visual impairment, poly-pharmacy, Charlson comorbidity index, clinical characteristics including; sodium serum level, systolic BP, ejection fraction, severity of disease, sleep disorders, prior experiences, and self-care behaviors. The relationships between variables were tested under the SEM technique using AMOS version 20. Results: The collected data was found to not fit with the initial model, however, after modification, the final model fitness was confirmed. Age-related characteristics had no effect on self-care behaviors (r = -0.3; P = 0.221). Social factors had both direct and indirect negative effects on self-care (r = -0.37; P = 0.016) through age-related factors (r = -0.19; P = 0.016). Prior experiences had a direct positive effect on self-care (r = 0.23; P = 0.018). Conclusions: Developing programs to improve social conditions and designing the educational model based on older adults' preferences seems necessary.

show abstract

Health Literacy Influences Heart Failure Knowledge Attainment but Not Self-Efficacy for Self-Care or Adherence to Self-Care over Time

Cited by 24 publications

References 30 publications

Patient Activation in Acute Decompensated Heart Failure

Patient Activation in Acute Decompensated Heart Failure

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association

Prediction Model for Self-Care Behaviors among Iranian Elders with Chronic Heart Failure

Contact Info

Product

Resources

About